Provider Demographics
NPI:1467551879
Name:FREEMER, CHRISTINE S (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:S
Last Name:FREEMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 CHANDLER ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01602-3300
Mailing Address - Country:US
Mailing Address - Phone:508-767-3997
Mailing Address - Fax:508-767-3999
Practice Address - Street 1:291 LINCOLN ST STE 101
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3643
Practice Address - Country:US
Practice Address - Phone:508-752-7888
Practice Address - Fax:508-752-6536
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA202628208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110003191AMedicaid